Ms Elizabeth Jane Moore, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Richmond, Indiana. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
101 Quaker Hill Dr, Richmond, Indiana. You can reach out to her office (for appointments etc.) via phone at
(774) 285-0822.
Ms Elizabeth Jane Moore is licensed to practice in Indiana (license number 71005185A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871826610.
Physician's Profile
Full Name | Ms Elizabeth Jane Moore |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 24 Years |
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Location | 101 Quaker Hill Dr, Richmond, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Elizabeth Jane Moore graduated from medical school in 2001
NPI Data:
- NPI Number: 1871826610
- Provider Enumeration Date: 09/11/2009
- Last Update Date: 09/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264570860
- Enrollment ID: I20141105001015
Medical Identifiers
Medical identifiers for Ms Elizabeth Jane Moore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871826610 | NPI | - | NPPES |
000000899248 | Other | IN | ANTHEM |
201258280 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 28087121A (Indiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 71005185B (Indiana) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 71005185A (Indiana) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 71005185A (Indiana) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Elizabeth Jane Moore allows following entities to bill medicare on her behalf.
Entity Name | Lighthouse Christian Counseling Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124599311 PECOS PAC ID: 7012255755 Enrollment ID: O20190205001881 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Elizabeth Jane Moore is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Elizabeth Jane Moore, PMHNP-BC 2514 Oak Park Court, Richmond, IN 47374-1282 Ph: (774) 285-0822 | Ms Elizabeth Jane Moore, PMHNP-BC 101 Quaker Hill Dr, Richmond, IN 47374-1926 Ph: (774) 285-0822 |
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